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1.
Nat Commun ; 10(1): 1481, 2019 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-30931943

RESUMO

How insects promote crop pollination remains poorly understood in terms of the contribution of functional trait differences between species. We used meta-analyses to test for correlations between community abundance, species richness and functional trait metrics with oilseed rape yield, a globally important crop. While overall abundance is consistently important in predicting yield, functional divergence between species traits also showed a positive correlation. This result supports the complementarity hypothesis that pollination function is maintained by non-overlapping trait distributions. In artificially constructed communities (mesocosms), species richness is positively correlated with yield, although this effect is not seen under field conditions. As traits of the dominant species do not predict yield above that attributed to the effect of abundance alone, we find no evidence in support of the mass ratio hypothesis. Management practices increasing not just pollinator abundance, but also functional divergence, could benefit oilseed rape agriculture.


Assuntos
Biodiversidade , Brassica rapa , Produção Agrícola , Produtos Agrícolas , Insetos , Polinização , Animais
2.
Ecol Modell ; 340: 126-133, 2016 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-27890965

RESUMO

Social bees are central place foragers collecting floral resources from the surrounding landscape, but little is known about the probability of a scouting bee finding a particular flower patch. We therefore developed a software tool, BEESCOUT, to theoretically examine how bees might explore a landscape and distribute their scouting activities over time and space. An image file can be imported, which is interpreted by the model as a "forage map" with certain colours representing certain crops or habitat types as specified by the user. BEESCOUT calculates the size and location of these potential food sources in that landscape relative to a bee colony. An individual-based model then determines the detection probabilities of the food patches by bees, based on parameter values gathered from the flight patterns of radar-tracked honeybees and bumblebees. Various "search modes" describe hypothetical search strategies for the long-range exploration of scouting bees. The resulting detection probabilities of forage patches can be used as input for the recently developed honeybee model BEEHAVE, to explore realistic scenarios of colony growth and death in response to different stressors. In example simulations, we find that detection probabilities for food sources close to the colony fit empirical data reasonably well. However, for food sources further away no empirical data are available to validate model output. The simulated detection probabilities depend largely on the bees' search mode, and whether they exchange information about food source locations. Nevertheless, we show that landscape structure and connectivity of food sources can have a strong impact on the results. We believe that BEESCOUT is a valuable tool to better understand how landscape configurations and searching behaviour of bees affect detection probabilities of food sources. It can also guide the collection of relevant data and the design of experiments to close knowledge gaps, and provides a useful extension to the BEEHAVE honeybee model, enabling future users to explore how landscape structure and food availability affect the foraging decisions and patch visitation rates of the bees and, in consequence, to predict colony development and survival.

3.
Nature ; 506(7488): 364-6, 2014 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-24553241

RESUMO

Emerging infectious diseases (EIDs) pose a risk to human welfare, both directly and indirectly, by affecting managed livestock and wildlife that provide valuable resources and ecosystem services, such as the pollination of crops. Honeybees (Apis mellifera), the prevailing managed insect crop pollinator, suffer from a range of emerging and exotic high-impact pathogens, and population maintenance requires active management by beekeepers to control them. Wild pollinators such as bumblebees (Bombus spp.) are in global decline, one cause of which may be pathogen spillover from managed pollinators like honeybees or commercial colonies of bumblebees. Here we use a combination of infection experiments and landscape-scale field data to show that honeybee EIDs are indeed widespread infectious agents within the pollinator assemblage. The prevalence of deformed wing virus (DWV) and the exotic parasite Nosema ceranae in honeybees and bumblebees is linked; as honeybees have higher DWV prevalence, and sympatric bumblebees and honeybees are infected by the same DWV strains, Apis is the likely source of at least one major EID in wild pollinators. Lessons learned from vertebrates highlight the need for increased pathogen control in managed bee species to maintain wild pollinators, as declines in native pollinators may be caused by interspecies pathogen transmission originating from managed pollinators.


Assuntos
Abelhas/parasitologia , Abelhas/virologia , Parasitos/patogenicidade , Polinização , Vírus de RNA/patogenicidade , Animais , Criação de Abelhas/métodos , Abelhas/classificação , Abelhas/fisiologia , Dados de Sequência Molecular , Parasitos/genética , Parasitos/isolamento & purificação , Polinização/fisiologia , Vírus de RNA/genética , Vírus de RNA/isolamento & purificação , Risco , Reino Unido
4.
Ecol Appl ; 21(5): 1760-71, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21830716

RESUMO

The global decline of insect pollinators, especially bees, is cause for concern, and there is an urgent need for cost-effective conservation measures in agricultural landscapes. While landscape context and habitat quality are known to influence species richness and abundance of bees, there is a lack of evidence from manipulative field experiments on bees' responses to adaptive management across differently structured landscapes. We present the results of a large-scale study that investigated the effects of a targeted agri-environment scheme (AES) on bumble bees (Bombus spp.) over three years in the United Kingdom. Forage patches of different sizes were sown with a conservation flower mixture across eight sites covering a broad range of agricultural land use types. Species richness and worker densities (especially of the longer-tongued Bombus species for which the mixture was targeted) were significantly higher on sown forage patches than on existing non-crop control habitats throughout the three-year study, but the strength of this response depended on both the proportions of arable land and abundance of herbaceous forb species in the surrounding landscape. The size of sown patches also affected worker density, with smaller patches (0.25 ha) attracting higher densities of some species than larger patches (1.0 ha). Our models show that a targeted AES can deliver greater net benefits in more intensively farmed areas, in terms of the number and species richness of bumble bees supported, than in heterogeneous landscapes where other foraging habitats exist. These findings serve to strengthen the evidence base for extending agri-environment schemes to boost declining pollinator populations to a larger number of agricultural landscapes across the globe.


Assuntos
Agricultura , Abelhas/classificação , Abelhas/fisiologia , Comportamento Animal/fisiologia , Conservação dos Recursos Naturais/métodos , Ecossistema , Animais , Inglaterra , Flores
5.
J Econ Entomol ; 104(1): 107-14, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21404847

RESUMO

Evidence for pollinator declines has led to concern that inadequate pollination services may limit crop yields. The global trade in commercial bumble bee (Bombus spp.) colonies provides pollination services for both glasshouse and open-field crops. For example, in the United Kingdom, commercial colonies of nonnative subspecies of the bumble bee Bombus terrestris L. imported from mainland Europe are widely used for the pollination of raspberries, Rubus idaeus L. The extent to which these commercial colonies supplement the services provided by wild pollinators has not been formally quantified and the impact of commercial bumble bees on native bees visiting the crop is unknown. Here, the impacts of allowing commercially available bumble bee colonies to forage on raspberry canes are assessed in terms of the yield of marketable fruit produced and the pollinator communities found foraging on raspberry flowers. No differences were found in the abundance, diversity, or composition of social bee species observed visiting raspberry flowers when commercial bumble bees were deployed compared with when they were absent. However, weight of marketable raspberries produced increased when commercial bees were present, indicating that wild pollinator services alone are inadequate for attaining maximum yields. The findings of the study suggests that proportional yield increases associated with deployment of commercial colonies may be small, but that nevertheless, investment in commercial colonies for raspberry pollination could produce very significant increases in net profit for the grower. Given potential environmental risks associated with the importation of nonnative bumble bees, the development of alternative solutions to the pollination deficit in raspberry crops in the United Kingdom may be beneficial.


Assuntos
Abelhas , Biomassa , Polinização , Rosaceae , Animais , Criação de Abelhas , Escócia
6.
Biol Lett ; 3(6): 638-41, 2007 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-17925271

RESUMO

Bumble-bee declines across Europe have been linked to loss of habitat and forage availability due to agricultural intensification. These declines may have severe ecological and commercial consequences since bumble-bees pollinate a range of wildflowers and crops. In England, attempts are being made to reintroduce forage resources through agri-environment schemes, yet there are few data on how the area of forage, or the landscape context in which it is provided, affects their success. We investigated the effects of sown forage patches on bumble-bees across sites varying in landscape characteristics. Bumble-bee densities were higher on sown patches compared with control habitats but did not vary with patch size, i.e. total forager numbers were proportional to patch area. Importantly, the relative response to sown forage patches varied widely across a landscape gradient such that their impact in terms of attracting foraging bumble-bees was greatest where the proportion of arable land was highest.


Assuntos
Abelhas/fisiologia , Comportamento Animal , Meio Ambiente , Animais , Conservação dos Recursos Naturais , Flores/fisiologia , Polinização , Densidade Demográfica
7.
Proc Biol Sci ; 272(1565): 785-90, 2005 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-15888410

RESUMO

For the first time, the flight paths of five butterfly species were successfully tracked using harmonic radar within an agricultural landscape. Until now, butterfly mobility has been predominantly studied using visual observations and mark-recapture experiments. Attachment of a light-weight radar transponder to the butterfly's thorax did not significantly affect behaviour or mobility. Tracks were analysed for straightness, duration, displacement, ground speed, foraging and the influence of linear landscape features on flight direction. Two main styles of track were identified: (A) fast linear flight and (B) slower nonlinear flights involving a period of foraging and/or looped sections of flight. These loops potentially perform an orientation function, and were often associated with areas of forage. In the absence of forage, linear features did not provide a guiding effect on flight direction, and only dense treelines were perceived as barriers. The results provide tentative support for non-random dispersal and a perceptual range of 100-200 m for these species. This study has demonstrated a methodology of significant value for future investigation of butterfly mobility and dispersal.


Assuntos
Borboletas/fisiologia , Comportamento Alimentar/fisiologia , Voo Animal , Orientação/fisiologia , Comportamento Espacial/fisiologia , Animais , Inglaterra , Radar , Especificidade da Espécie , Telemetria
8.
Mol Ecol ; 14(6): 1811-20, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15836652

RESUMO

Bumblebees are major pollinators of crops and wildflowers in northern temperate regions. Knowledge of their ecology is vital for the design of effective management and conservation strategies but key aspects remain poorly understood. Here we employed microsatellite markers to estimate and compare foraging range and nest density among four UK species: Bombus terrestris, Bombus pascuorum, Bombus lapidarius, and Bombus pratorum. Workers were sampled along a 1.5-km linear transect across arable farmland. Eight or nine polymorphic microsatellite markers were then used to identify putative sisters. In accordance with previous studies, minimum estimated maximum foraging range was greatest for B. terrestris (758 m) and least for B. pascuorum (449 m). The estimate for B. lapidarius was similar to B. pascuorum (450 m), while that of B. pratorum was intermediate (674 m). Since the area of forage available to bees increases as the square of foraging range, these differences correspond to a threefold variation in the area used by bumblebee nests of different species. Possible explanations for these differences are discussed. Estimates for nest density at the times of sampling were 29, 68, 117, and 26/km2 for B. terrestris, B. pascuorum, B. lapidarius and B. pratorum, respectively. These data suggest that even among the most common British bumblebee species, significant differences in fundamental aspects of their ecology exist, a finding that should be reflected in management and conservation strategies.


Assuntos
Abelhas/fisiologia , Comportamento Alimentar/fisiologia , Genética Populacional , Comportamento de Nidação/fisiologia , Comportamento Espacial/fisiologia , Animais , Abelhas/genética , Conservação dos Recursos Naturais , Genótipo , Desequilíbrio de Ligação , Repetições de Microssatélites/genética , Densidade Demográfica , Especificidade da Espécie , Reino Unido
9.
Eur Urol ; 46(6): 681-9, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15548433

RESUMO

OBJECTIVES: On behalf of the European Association of Urology (EAU) guidelines for diagnosis, therapy and follow-up of chronic pelvic pain patients were established. METHOD: Guidelines were compiled by a working group and based on current literature following a systematic review using MEDLINE. References were weighted by the panel of experts. RESULTS: The full text of the guidelines is available through the EAU Central Office and the EAU website (www.uroweb.org). This article is a short version of this text and summarises the main conclusions from the guidelines on management of chronic pelvic pain. CONCLUSION: A guidelines text is presented including chapters on prostate pain and bladder pain syndromes, urethral pain, scrotal pain, pelvic pain in gynaecological practice, role of the pelvic floor and pudendal nerve, general treatment of chronic pelvic pain and neuromodulation. These guidelines have been drawn up to provide support in the management of the large and difficult group of patients suffering from chronic pelvic pain.


Assuntos
Dor Pélvica/diagnóstico , Dor Pélvica/terapia , Doença Crônica , Humanos
10.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1879-98, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561320

RESUMO

The effects of management of genetically modified herbicide-tolerant (GMHT) crops on adjacent field margins were assessed for 59 maize, 66 beet and 67 spring oilseed rape sites. Fields were split into halves, one being sown with a GMHT crop and the other with the equivalent conventional non-GMHT crop. Margin vegetation was recorded in three components of the field margins. Most differences were in the tilled area, with fewer smaller effects mirroring them in the verge and boundary. In spring oilseed rape fields, the cover, flowering and seeding of plants were 25%, 44% and 39% lower, respectively, in the GMHT uncropped tilled margins. Similarly, for beet, flowering and seeding were 34% and 39% lower, respectively, in the GMHT margins. For maize, the effect was reversed, with plant cover and flowering 28% and 67% greater, respectively, in the GMHT half. Effects on butterflies mirrored these vegetation effects, with 24% fewer butterflies in margins of GMHT spring oilseed rape. The likely cause is the lower nectar supply in GMHT tilled margins and crop edges. Few large treatment differences were found for bees, gastropods or other invertebrates. Scorching of vegetation by herbicide-spray drift was on average 1.6% on verges beside conventional crops and 3.7% beside GMHT crops, the difference being significant for all three crops.


Assuntos
Agricultura/métodos , Biodiversidade , Meio Ambiente , Herbicidas/metabolismo , Invertebrados/fisiologia , Plantas Geneticamente Modificadas/fisiologia , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
11.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1863-77, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561319

RESUMO

The effects of the management of genetically modified herbicide-tolerant (GMHT) crops on the abundances of aerial and epigeal arthropods were assessed in 66 beet, 68 maize and 67 spring oilseed rape sites as part of the Farm Scale Evaluations of GMHT crops. Most higher taxa were insensitive to differences between GMHT and conventional weed management, but significant effects were found on the abundance of at least one group within each taxon studied. Numbers of butterflies in beet and spring oilseed rape and of Heteroptera and bees in beet were smaller under the relevant GMHT crop management, whereas the abundance of Collembola was consistently greater in all GMHT crops. Generally, these effects were specific to each crop type, reflected the phenology and ecology of the arthropod taxa, were indirect and related to herbicide management. These results apply generally to agriculture across Britain, and could be used in mathematical models to predict the possible long-term effects of the widespread adoption of GMHT technology. The results for bees and butterflies relate to foraging preferences and might or might not translate into effects on population densities, depending on whether adoption leads to forage reductions over large areas. These species, and the detritivore Collembola, may be useful indicator species for future studies of GMHT management.


Assuntos
Agricultura/métodos , Artrópodes/fisiologia , Biodiversidade , Herbicidas/metabolismo , Plantas Geneticamente Modificadas/fisiologia , Análise de Variância , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
12.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1899-913, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561321

RESUMO

Effects of genetically modified herbicide-tolerant (GMHT) and conventional crop management on invertebrate trophic groups (herbivores, detritivores, pollinators, predators and parasitoids) were compared in beet, maize and spring oilseed rape sites throughout the UK. These trophic groups were influenced by season, crop species and GMHT management. Many groups increased twofold to fivefold in abundance between early and late summer, and differed up to 10-fold between crop species. GMHT management superimposed relatively small (less than twofold), but consistent, shifts in plant and insect abundance, the extent and direction of these effects being dependent on the relative efficacies of comparable conventional herbicide regimes. In general, the biomass of weeds was reduced under GMHT management in beet and spring oilseed rape and increased in maize compared with conventional treatments. This change in resource availability had knock-on effects on higher trophic levels except in spring oilseed rape where herbivore resource was greatest. Herbivores, pollinators and natural enemies changed in abundance in the same directions as their resources, and detritivores increased in abundance under GMHT management across all crops. The result of the later herbicide application in GMHT treatments was a shift in resource from the herbivore food web to the detritivore food web. The Farm Scale Evaluations have demonstrated over 3 years and throughout the UK that herbivores, detritivores and many of their predators and parasitoids in arable systems are sensitive to the changes in weed communities that result from the introduction of new herbicide regimes.


Assuntos
Agricultura/métodos , Cadeia Alimentar , Herbicidas/metabolismo , Invertebrados/fisiologia , Plantas Geneticamente Modificadas/fisiologia , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Dinâmica Populacional , Reino Unido , Zea mays/fisiologia
13.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1779-99, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561314

RESUMO

Farmland biodiversity and food webs were compared in conventional and genetically modified herbicide-tolerant (GMHT) crops of beet (Beta vulgaris L.), maize (Zea mays L.) and both spring and winter oilseed rape (Brassica napus L.). GMHT and conventional varieties were sown in a split-field experimental design, at 60-70 sites for each crop, spread over three starting years beginning in 2000. This paper provides a background to the study and the rationale for its design and interpretation. It shows how data on environment, field management and the biota are used to assess the current state of the ecosystem, to define the typical arable field and to devise criteria for selecting, sampling and auditing experimental sites in the Farm Scale Evaluations. The main functional and taxonomic groups in the habitat are ranked according to their likely sensitivity to GMHT cropping, and the most responsive target organisms are defined. The value of the seedbank as a baseline and as an indicator of historical trends is proposed. Evidence from experiments during the twentieth century is analysed to show that large changes in field management have affected sensitive groups in the biota by ca. 50% during a year or short run of years--a figure against which to assess any positive or negative effects of GMHT cropping. The analysis leads to a summary of factors that were, and were not, examined in the first 3 years of the study and points to where modelling can be used to extrapolate the effects to the landscape and the agricultural region.


Assuntos
Agricultura/métodos , Biodiversidade , Cadeia Alimentar , Herbicidas/metabolismo , Modelos Biológicos , Plantas Geneticamente Modificadas/fisiologia , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Sementes/fisiologia , Reino Unido , Zea mays/fisiologia
14.
Nature ; 403(6769): 537-40, 2000 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-10676960

RESUMO

Cognitive ethology focuses on the study of animals under natural conditions to reveal ecologically adapted modes of learning. But biologists can more easily study what an animal learns than how it learns. For example, honeybees take repeated 'orientation' flights before becoming foragers at about three weeks of age. These flights are a prerequisite for successful homing. Little is known about these flights because orienting bees rapidly fly out of the range of human observation. Using harmonic radar, we show for the first time a striking ontogeny to honeybee orientation flights. With increased experience, bees hold trip duration constant but fly faster, so later trips cover a larger area than earlier trips. In addition, each flight is typically restricted to a narrow sector around the hive. Orientation flights provide honeybees with repeated opportunities to view the hive and landscape features from different viewpoints, suggesting that bees learn the local landscape in a progressive fashion. We also show that these changes in orientation flight are related to the number of previous flights taken instead of chronological age, suggesting a learning process adapted to changes in weather conditions, flower availability and the needs of bee colonies.


Assuntos
Abelhas/fisiologia , Voo Animal/fisiologia , Comunicação Animal , Animais , Comportamento Alimentar/fisiologia , Feminino , Aprendizagem/fisiologia , Orientação/fisiologia , Radar
15.
Br J Urol ; 79(4): 572-7, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9126085

RESUMO

OBJECTIVES: To determine whether nerve growth factor (NGF) is elevated in painful conditions of the urinary bladder (idiopathic sensory urgency, interstitial cystitis and painful chronic cystitis). PATIENTS AND METHODS: Sixteen women patients were recruited from the Urodynamic Clinic at The Elizabeth Garrett Anderson Hospital, London. Four each had idiopathic sensory urgency (mean age 34 years, range 24-51), chronic cystitis (mean age 51 years, range 40-79) and interstitial cystitis (mean age 41 years, range 29-53). Four women who had genuine stress incontinence on cystometry but with no irritative symptoms were used as controls (mean age 45 years, range 35-54). The levels of NGF were determined in bladder biopsies from all women and biopsy sections were immunostained to detect NGF. RESULTS: The levels of NGF were higher in samples from all three painful bladder conditions than in samples from controls. Immunostaining showed increased NGF expression in the urothelium, most marked in patients with idiopathic sensory urgency. CONCLUSIONS: The increased level of NGF may explain several clinical and pathological features in these conditions, including sensitization of nociceptor fibres and increased numbers of mast cells. We propose that anti-NGF treatment may be a rational and effective treatment in intractable bladder pain.


Assuntos
Cistite Intersticial/metabolismo , Fatores de Crescimento Neural/metabolismo , Retenção Urinária/metabolismo , Adulto , Doença Crônica , Feminino , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Dor/metabolismo , Sensibilidade e Especificidade , Transtornos Urinários/metabolismo
16.
Cancer Lett ; 88(1): 67-72, 1995 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-7850775

RESUMO

Laminin is a component of the extracellular matrix and is associated with tumor cell metastasis. Present studies show that the ovarian cancer cell lines produce significant amounts of laminin (54-140 ng/ml) in culture. Since ovarian cancer is associated with ascites production, laminin levels were then determined in ascites and serum. The results indicate that the ascites from patients with serous adenocarcinoma of the ovary had higher levels of laminin than the normal peritoneal fluid (P < 0.0001). However, the serum levels of laminin did not differ significantly between the control population and ovarian cancer patients.


Assuntos
Líquido Ascítico/metabolismo , Cistadenocarcinoma Seroso/metabolismo , Laminina/metabolismo , Neoplasias Ovarianas/metabolismo , Antígeno Ca-125/sangue , Antígeno Ca-125/metabolismo , Cistadenocarcinoma Seroso/sangue , Feminino , Humanos , Laminina/sangue , Neoplasias Ovarianas/sangue , Cavidade Peritoneal
17.
Neurourol Urodyn ; 13(1): 29-33, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-8156072

RESUMO

Needle electromyography (EMG) of the urethral sphincter using the periurethral approach is a procedure which most women find painful and their discomfort can restrict the usefulness of the test. A new technique has been devised using a transvaginal approach. The patient lies in the left lateral position and using a Sims speculum the posterior vaginal wall is retracted. The urethral sphincter can be easily seen and palpated, assisting correct electrode placement. This new technique is much less uncomfortable and highly satisfactory EMG recordings are obtained.


Assuntos
Eletromiografia/métodos , Uretra/fisiologia , Eletromiografia/instrumentação , Feminino , Humanos , Músculo Liso/fisiologia , Palpação , Postura
18.
Br J Urol ; 64(4): 357-9, 1989 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-2819385

RESUMO

This study investigated 29 nulliparous women using the technique of transvaginal ultrasound to assess whether their bladder necks were open or closed at rest. The patients comprised 2 groups: 4 reported occasional episodes of stress incontinence, all of whom had closed bladder necks; the remaining 25 patients were totally asymptomatic. Overall a 21% incidence of an open bladder neck was recorded. It is likely that the true incidence of open bladder necks in young nulliparous women is higher than this, since none of these patients had troublesome stress incontinence. Since women with open bladder necks are more likely to develop stress incontinence if the integrity of the distal sphincter mechanism is compromised by neural damage, antenatal recognition of this problem should provide a contraindication to traumatic vaginal delivery and may in the future reduce the incidence of symptomatic stress incontinence in the population.


Assuntos
Bexiga Urinária/fisiopatologia , Adulto , Feminino , Humanos , Paridade , Incontinência Urinária por Estresse/etiologia
19.
Methods Find Exp Clin Pharmacol ; 11(3): 173-8, 1989 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2657275

RESUMO

The in vitro and in vivo functionality of Catapres-TTS, a transdermal therapeutic system that delivers the alpha adrenergic receptor agonist clonidine, is discussed in terms of the drug transport kinetics and resultant plasma drug concentration profiles. The design of Catapres-TTS is presented as an optimization by which the best combination of system performance characteristics is obtained within the inherent limitations of the transdermal drug transport properties and the known pharmacokinetic and pharmacodynamic properties of the drug. Clonidine is a potent antihypertensive agent with a relatively low therapeutic index. For Catapres-TTS, the majority of control over the drug input rate resides within the system, rather than within the skin, which significantly reduces the variability in drug input rate and resulting plasma drug concentration both within and between patients. Moreover, the presence of a rate-control element in the system allows for patterning of the drug release rate. An initial bolus of drug is placed in the contact adhesive layer, where its transport into the skin is not inhibited by the rate control element in the system, for reduction in the time needed to achieve steady state drug input. The selection of the loading dose of drug is described as an optimization between the minimization of the lag time and the maintenance of constant plasma drug concentrations during the crossover period between system applications in chronic therapy.


Assuntos
Administração Cutânea , Clonidina/administração & dosagem , Clonidina/farmacocinética , Humanos , Técnicas In Vitro
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